OrganizationActive
Kennesaw Modern Dentistry, PC
NPI 1477200137 · Dentist · Kennesaw, GA
Kennesaw Modern Dentistry, PC is a Dentist organization in Kennesaw, GA (NPI 1477200137).
Provider details
- NPI number
- 1477200137
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Houston, Owner(678) 832-0527
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1125 Ernest W Barrett Pkwy Nw Bldg 200
Kennesaw, GA 30144-4535
Phone: (678) 832-0527
Fax: (678) 835-9729
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Kennesaw Modern Dentistry
- Doing business as
- Kennesaw Modern Dentistry
Registry dates
- Enumerated
- 2022-03-03
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Frequently asked questions
- What is Kennesaw Modern Dentistry, PC's NPI number?
- Kennesaw Modern Dentistry, PC's National Provider Identifier (NPI) is 1477200137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennesaw Modern Dentistry, PC?
- Kennesaw Modern Dentistry, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kennesaw Modern Dentistry, PC located?
- Kennesaw Modern Dentistry, PC's practice location on file with NPPES is 1125 Ernest W Barrett Pkwy Nw Bldg 200, Kennesaw, GA 30144-4535.
- What is Kennesaw Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Kennesaw Modern Dentistry, PC is (678) 832-0527.
- Who is the authorized official for Kennesaw Modern Dentistry, PC?
- The authorized official listed on Kennesaw Modern Dentistry, PC's NPPES record is Michelle Houston, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennesaw Modern Dentistry, PC's NPI active?
- Yes — Kennesaw Modern Dentistry, PC's NPI (1477200137) is active in the NPPES registry as of the last update on 2022-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.